Lead the Way Recovery LLC

NPI #1528832839 in Salem, Ohio

Provider Information

NPI Number: 1528832839
Entity Type: Organization
Organization Name: Lead the Way Recovery LLC
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Nov 8, 2023
Last Updated: Nov 9, 2023

Practice Location

Address: 657 E STATE ST STE 6
City: Salem
State: Ohio
ZIP Code: 44460-2958
Phone: (210) 722-7662

Authorized Official

Name: DR. MARY ELIZABETH FREDRICKSON, PHARMD
Title: OWNER
Phone: (210) 722-7662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Internal Medicine - Addiction Medicine — Addiction Medicine	207RA0401X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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